Individual provider Active NPI

Stephanie Beth Bednarski, PT, DPT

  • Physical Therapist
  • Elmwood Park, NJ
National Provider Identifier
1144537929
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01362100 Issued in NJ
Practice address
1 Broadway, Suite 301
Elmwood Park, NJ 07407-1845
Phone
(201) 791-0707
NPI assigned
Sep 1, 2010
Last updated
Sep 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01362100 NJ Primary

Addresses

Primary practice location

1 Broadway, Suite 301
Elmwood Park, NJ 07407-1845

Mailing address

220 Jacksonville Rd
Pompton Plains, NJ 07444-1504
Phone (973) 580-2102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110104001098 NJ Practitioner - Physical Therapist in Private Practice 2668661828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

267 Hobart St
Perth Amboy, NJ 08861-4310
Phone (732) 823-9277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Physical Therapy, LLC CurrentSince May 6, 2017 Accepting new patients
Enhanced Physical Therapy Physical Therapist CurrentSince Jul 1, 2014 Accepting new patients
Stephanie Bednarski DPT Physical Therapist Past Accepting new patients

Locations

101 Newark Pompton Tpke
Ste 10
Little Falls, NJ 07424
Phone (973) 928-1950

267 Hobart St
Perth Amboy, NJ 08861
Phone (732) 442-4422

474 Amboy Ave
Perth Amboy, NJ 08861
Phone (732) 442-6444

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1144537929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 JACKSONVILLE RD",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441504",
            "telephone_number": "973-580-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROADWAY, SUITE 301",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071845",
            "telephone_number": "201-791-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDNARSKI",
        "first_name": "STEPHANIE",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01362100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.